The future of the left since 1884

Support guaranteed: The roadmap to a National Care Service


Plans for a National Care Service were first presented 13 years ago in the dying days of the last Labour government. Since then no detailed work has taken place to flesh out what the service might look like or how it should be implemented. That is the purpose of this report.

Since 2010 adult social care has gone downhill fast: spending has fallen hugely when compared to levels of need and access to care has been unfairly rationed, with people not receiving the services they are entitled to.

But extra spending is not enough to solve these problems. Money must come with reform. This report sets out the principles which should underpin the National Care Service and the building blocks which should be used to bring it to life.

Other versions of the report:

You can also hear more about the proposals on the new Fabian Thinking podcast.

Download the full report below.

Download now

Andrew Harrop

Andrew Harrop is general secretary of the Fabian Society.


Ben Cooper

Ben is a senior researcher at the Fabian Society.


Kindly supported by

Fabian membership

Join the Fabian Society today and help shape the future of the left

You’ll receive the quarterly Fabian Review and at least four reports or pamphlets each year sent to your door

Be a part of the debate at Fabian conferences and events and join one of our network of local Fabian societies

Join the Fabian Society
Fabian Society

By continuing to use the site, you agree to the use of cookies. more information

The cookie settings on this website are set to "allow cookies" to give you the best browsing experience possible. If you continue to use this website without changing your cookie settings or you click "Accept" below then you are consenting to this.